ArticleSurgical endoscopy2026
Outcomes of laparoscopic reoperation for anastomotic leak-associated peritonitis following colorectal cancer surgery: a comparative study.
Article in Surgical endoscopy, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundAnastomotic leakage after colorectal cancer surgery can lead to severe peritonitis requiring urgent surgical reintervention. Although laparotomy has traditionally been the standard approach in this setting, the role of laparoscopy for reoperation remains uncertain. This study aimed to evaluate the feasibility and safety of a laparoscopic-first strategy for reoperation in patients with anastomotic leak-associated peritonitis.
methodsThis retrospective study included patients who underwent reoperation for anastomotic leakage after colorectal cancer surgery between 2006 and 2025. Patients were analyzed according to the initially intended surgical approach (laparoscopic vs open). Baseline characteristics were compared using standardized mean differences. The primary outcome was severe postoperative complications (Clavien-Dindo grade ≥ III).
resultsForty-two patients were included, with 21 assigned to each group. Conversion to laparotomy occurred in five patients (24%) in the laparoscopic group. The incidence of severe complications was significantly lower in the laparoscopic group (14% vs 57%), corresponding to a risk difference of - 42.9% (95% CI, - 68.8 to - 16.9). Organ/space surgical site infection was also less frequent in the laparoscopic group (10% vs 48%). Operative time and blood loss during reoperation were comparable between groups, while postoperative hospital stay was shorter in the laparoscopic group. No in-hospital deaths occurred. Kaplan-Meier analysis showed no significant differences in overall or cancer-specific survival between the groups.
conclusionsLaparoscopic reoperation for anastomotic leak-associated peritonitis after colorectal cancer surgery was associated with reduced severe postoperative complications without compromising survival. A laparoscopic-first strategy may be feasible in selected patients.
Indexed as
Identifiers
42637951What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.